Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $776.25	Professional		$72.44	$85.11	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $131.83	Professional		$120.23	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $151.36	Facility		$107.15	$107.15	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $257.04	Professional		$107.15	$177.83	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $154.88 / $724.44	Facility		$87.10	$154.88	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $134.90	Professional		$44.67	$67.61	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $338.84	Professional		$147.91	$186.21	$338.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $338.84	Professional		$186.21	$257.04	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $154.88	Facility		$51.29	$79.43	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $102.33	Professional		$44.67	$67.61	$102.33